HTML Preview Medication Safety Committee Meeting Minutes page number 1.
UC Irvine Healthcare
Medication Safety Committee
Meeting Minutes
Date: 12/20/2011 12:00 P.M. - 2:00 P.M.
I. MEMBER ATTENDANCE
Renee Weng (Chair)
Jody Jacobson
Nance Hove
Shermeen Vakharia
Alice Issai
Karen Grimley
Patricia Halterman
Trung Vu
Bruce Ball
Kevin Kong
Raja Zeitany
Victoria Malonzo
Bud Pate
Laura Bruzzone
Robin Koeppel
William Barron
Recorder: Erica Grochow
AGENDA ITEM
PAGE
DISCUSSION
WHO
WHAT
WHEN
1. Review of Minutes (11/15/11),
SBAR’s (11/15/11) and
Unresolved Actions Items List
1-9
Minutes were reviewed and approved.
2. Severity, MERP element
trending reports, ADR/Insulin
event trending reports and
August med event report
10-14
The November Medication Events trend was
reviewed.
MERP element trending report was reviewed.
Issues of note included:
There was a 52% increase in the number of
incident reports.
No reports resulted in patient harm.
There was a 391% increase in the number of
prescription order communication/
documenting errors. A large number of
these reports were related to uncharted
controlled substances.
ADR and Insulin related event trending was
reviewed. Issues of note included:
There were 13 Adverse Drug Reaction
incident reports in November.
There were 41 Hypoglycemic Related Event
incident reports in November.
Medication
Safety
Committee
Medication
Safety
Committee
Medication
Safety
Committee
Medication events will continue to
be trended monthly.
MERP elements will continue to
be monitored.
Uncharted controlled substances
issue was presented to Nursing
Management Council. It was
recommended that nurses print
activity reports at the end of their
shifts to confirm all charting of
controlled substances is done.
Continue to monitor and review at
next MSC meeting.
This report will continue to be
updated monthly.
January
MSC
Meeting
January
MSC
Meeting
January
MSC
Meeting
3. Subcommittee Chair Reports
14-34
Robin Koeppel presented the NICU
subcommittee meeting minutes and SBAR from
12/14/11. Issues of note this month included:
Medications delivered from the pharmacy
are labeled often on both the medication and
Pharmacy
Personnel
The issue has been forwarded and
resolved. There will no longer be a
Complete
SE1e, MSC Meeting Minutes.pdf
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